Healthcare Provider Details

I. General information

NPI: 1295665065
Provider Name (Legal Business Name): MENDING LIVES HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 UPLAND AVE
UPLAND PA
19015-2434
US

IV. Provider business mailing address

601 UPLAND AVE
UPLAND PA
19015-2434
US

V. Phone/Fax

Practice location:
  • Phone: 484-245-4425
  • Fax:
Mailing address:
  • Phone: 484-245-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA JONES
Title or Position: OWNER
Credential:
Phone: 484-425-4425